分期辨证分型治疗反复呼吸道感染随机平行对照研究

目的]观察分期辨证分型治疗反复呼吸道感染疗效。方法]使用随机平行对照方法,将66例住院患者按抽签法简单随机分为两组。对照组30例芙露饮,10~15mL/次,1次/d。治疗组36例辨证分期治疗:感染期风热表证(竹叶4g,桑叶、薄荷、蝉衣、甘草各6g,菊花、黄岑各8g,连翘、前胡各10g);感染期痰热闭肺(炙甘草、麻黄各4g,僵蚕、紫苑、杏仁各5g,白前、桔梗、蝉衣、枇杷叶各10g,生石膏15g);感染期风寒袭肺(麻黄4g,炙甘草、蝉衣、紫苑和僵蚕各6g,枇杷叶、白前、桔梗和前胡各10g);非感染期肺胃热盛(芒硝、大黄、甘草各3g,黄岑、栀子和薄荷各6g,桔梗、连翘和双花各10g);非感染期肺脾气虚(炙甘草、人参各3g,茯苓、半夏、五味子各5g,陈皮、白术各8g,麦冬10g);上方均1剂/d,水煎200mL,早晚口服。连续治疗60d为1疗程。观测临床症状、不良反应。治疗1疗程,随访30d,判定疗效。结果]治疗组痊愈18例,显效12例,有效5例,无效1例,总有效率97.22%。对照组痊愈4例,显效10例,有效8例,无效8例,总有效率73.33%。治疗组疗效优于对照组(P0.05)。结论]分期辨证分型治疗反复呼吸道感染效果显著,值得推广。

Differentiation Stage Treatment of Recurrent Respiratory Tract Infections Random Parallel Control Study

Objective ] To observe the differentiation stage treatment the curative effect of recurrent respiratory tract infections. Methods ] Using random parallel control method, 66 cases of hospitalized patients into two groups according to random number table method. The control group, 30 cases of fu Lou drink 10 - 15 ml/second, 1 / d. Treatment group of 36 cases of syndrome differentiation stage, infection period wind hot table card （ Zhuye 4 g, Sangye, Bohe, Chanyi, Gancao each 6 g, Juhua, Huangqi each 8 g, Lianqioa, Yuanhu each 10 g ） ; Phlegm heat closed type pulmonary infectious period （ Zhigancao, Mahuang each 4 g, Jiangcan, xingren, Ziyuan 5 g, Baqian, jiegeng, Chanyi, Pibaye every 10 g, Shengshigaol5 g） ; Cold on pulmonary infectious period （Mahuang 4 g, Zhigancao, Chanyi, Ziyuan, Jiangchan each 6g, Pibaye, Baiqian, Jiegeng, Qianhu each 10 g ） ; The infection of lung and stomach＇s hotness type （ Mangxiao, Dahung, Gancao each 3 g, Huangqi, Zhizi, Bohe each 6 g, Jiegeng, Lianqioa, Shuanghua 10 g each ） ; Non infected lung spleen-deficiency type （ Zhigancao, Renshen 3 g, Fuling, Banxia, Wuweizi 5 g, Chenpi, Baizhu each 8 g, Maidongl0 g ） ; Above all agent 1 / d, boiling water 200 mL, oral sooner or later. Continuous treatment of 60 d 1 course of treatment. Observation of clinical symptoms and adverse reactions. 1 course of treatment, followup of 30d, judge curative effect. Results ] the treatment group （ 18 cases cured, 12 cases were markedly improved, effective in 5 cases, and 1 had no effect, the total effective rate was 97.22%. Control group healed in 4 cases, 10 cases had marked effect, 8 cases effective, 8 no effect, the total effective rate was 73.33%. The treatment group curative effect is better than that of control group （ P〈0.05 ） . Conclusion ] Syndrome differentiation stage treatment of recurrent respiratory tract infections effect is remarkable, is worth promoting.